MEDICARE: BENCHMARK COMMUNICATION SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	6090	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0828118	OTHER	NC	SOSID
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376638981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BENCHMARK COMMUNICATION SERVICES, INC

Provider Business Mailing Address
First Line	:	350 GOLDENROD LANE
Second Line	:
City	:	LEXINGTON
State	:	NC
Zip	:	27295-6889
Country	:	US
Telephone Number	:	336-956-0535
Fax Number	:	336-956-6887

Provider Business Practice Location Address
First Line	:	350 GOLDENROD LANE
Second Line	:
City	:	LEXINGTON
State	:	NC
Zip	:	27295-6889
Country	:	US
Telephone Number	:	336-956-0535
Fax Number	:	336-956-6887

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. SHANNON PAULINE BAKA
Credential	:	M.S., CCC-SLP
Telephone Number	:	336-956-0535

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	07/16/2007

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Directions to “BENCHMARK COMMUNICATION SERVICES, INC ” Practice Location

Language	Start Address	Practice Location

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